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Digestive Tract Reconstruction After Gastrectomy of Gastric Cancer With Type 2 Diabetes

Conditions
Gastric Cancer
Interventions
Procedure: digestive tract reconstruction
Registration Number
NCT01637350
Lead Sponsor
Tianjin Medical University Cancer Institute and Hospital
Brief Summary

Different digestive tract reconstruction will affect the blood glucose level of gastric cancer with type 2 diabetes. Subtotal gastrectomy with Billroth II reconstruction and total gastrectomy with Roux-en-Y reconstruction may help to improve glycaemic control which includes fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, C -peptide and body weight of gastric cancer patients with type 2 diabetes.

Detailed Description

Different digestive tract reconstruction will affect the blood glucose level of gastric cancer with type 2 diabetes. Subtotal gastrectomy with Billroth II reconstruction and total gastrectomy with Roux-en-Y reconstruction may help to improve glycaemic control which includes fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, C -peptide and body weight of gastric cancer patients with type 2 diabetes.

The investigators will observed fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, C -peptide and body weight of the patients preoperation, 14 days postoperation 3 month and 6month postoperation. The investigators will observed the effect of blood glucose to different digestive tract reconstruction after gastrectomy of gastric cancer with type 2 diabetes

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. 18-75 years old,gastric cancer ,can be performed operation
  2. with type 2 diabetes,fasting blood glucose > 6.1mmol/L
  3. without serious underlying diseases which may affect the metabolism and nutrient uptake
  4. without serious underlying diseases which may affect anesthesia and operation
  5. can be performed subtotal or total gastrectomy, predicted survival period > 6months
  6. no other abdominal operation
  7. preoperation consultation
  8. informed consent
Exclusion Criteria
  1. recurrent,metastasis or die
  2. patient requests for quit
  3. pregnancy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
total gastrectomy , Roux-en-Ydigestive tract reconstruction-
Subtotal gastrectomy , BillrothⅠdigestive tract reconstruction-
total gastrectomy, jejunal interpositiondigestive tract reconstruction-
Subtotal gastrectomy , BillrothⅡdigestive tract reconstruction-
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tianjin Medical University Cancer Institute and Hospital

🇨🇳

Tianjin, Tianjin, China

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